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MenACWY-CRM197

Phase 3

Meningitis | Monoclonal antibody | Infectious Disease |Novartis AG|Last Updated: Oct 24, 2014

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment7,744

FDA Designations

No designations recorded

Clinical trial landscape

MenACWY-CRM197 · 3 trials · 4 indications

Phase 3 2Phase 2 1
NCT00806195Study to Evaluate the Safety of Novartis MenACWY Conjugate Vaccine When Administered With Routine Infant Vaccinations to Healthy InfantsMeningitis
COMPLETED7,744 Analytics
NCT00667602Safety and Immunogenicity Evaluation After One or Two Doses of Novartis Meningococcal ACWY Conjugate Vaccine in Healthy Infants and ToddlersMeningococcal Meningitis
COMPLETED662 Analytics
PHASE3COMPLETED
Study to Evaluate the Safety of Novartis MenACWY Conjugate Vaccine When Administered With Routine Infant Vaccinations to Healthy Infants
MeningitisUnlock trial analytics
PHASE3COMPLETED
Safety and Immunogenicity Evaluation After One or Two Doses of Novartis Meningococcal ACWY Conjugate Vaccine in Healthy Infants and Toddlers
Meningococcal MeningitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentages of Subjects With At Least One Severe Systemic Reaction After Any Vaccination
15 minutes to Day 7 after any vaccination administered at 2, 4, 6 and 12 months of age

To compare the percentages of subjects who reported at least one severe systemic reaction after any vaccination of MenACWY-CRM197 (detailed) plus routine vaccines (detailed) group to that observed in the routine vaccines alone (detailed) group administered at 2, 4, 6, and 12 months of age. Detailed - infants who provided reactogenicity and all Adverse Events (AEs) for 7 days, Serious Adverse Events (SAEs) and medically attended AEs.

Percentages of Subjects With Serum Bactericidal Titer ≥ 1:8 Against N.Meningitidis Serogroup C
1 month postvaccination

Immunogenicity of one dose of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was measured using serum bactericidal assay with human complement (hSBA) titer ≥ 1:8 against N.meningitidis serogroup C.

Percentage of Subjects With hSBA ≥1:8
At 40 and 60 months of age

Percentages of subjects with human Serum Bactericidal Assay (hSBA) ≥1:8 as measured by serum bactericidal activity at 40 months and 60 months of age and associated 95% Clopper-Pearson CIs were computed for each of the serogroups within each of the vaccinated groups and in age-matched control subjects.

Secondary Endpoints

Percentages of Subjects With At Least One Serious Adverse Event During the Entire Study Period
Day 1 (2 months of age) to 18 months of age
Percentages of Subjects Reporting Solicited Adverse Events, After Each Vaccination
15 minutes to Day 7
Number of Subjects Who Reported Unsolicited Adverse Events After Any Vaccination
Day 1 (2 months of age) to 18 months of age
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
MenACWY-CRM197 + Routine Vaccines (Non-Detailed)EXPERIMENTALInfants received one vaccination of MenACWY-CRM197 vaccine at 2, 4, 6 and 12 months of age and one vaccination of routine vaccines (according to the local vaccination schedule) - DTaP: 2, 4, 6, 15 months, IPV: 2, 4, 6, months, Hib: 2, 4, 6, 15 months, Pneumococcal conjugate: 2, 4, 6, 12 months, MMR: 12 months. Routine vaccines given to subjects in these arms will be consistent with the US ACIP recommended vaccines. Non-Detailed - infants who only provided SAEs (Serious Adverse Events) and medically attended AEs (Adverse Events).
Routine Vaccines (Non-Detailed)ACTIVE_COMPARATORInfants received one vaccination of routine vaccines (according to the local vaccination schedule) - DTaP: 2, 4, 6, 15 months, IPV: 2, 4, 6 months, Hib: 2, 4, 6, 15 months, Pneumococcal conjugate: 2, 4, 6, 12 months, MMR: 12 months. Routine vaccines given to subjects in these arms will be consistent with the US ACIP recommended vaccines. Non-Detailed - subjects who only provided SAEs and medically attended AEs.
MenACWY-CRM197 + Routine Vaccines (Detailed)EXPERIMENTALInfants received one vaccination of MenACWY-CRM197 vaccine at 2, 4, 6 and 12 months of age and one vaccination of routine vaccines (according to the local vaccination schedule) - DTaP: 2, 4, 6, 15 months, IPV: 2, 4, 6, months, Hib: 2, 4, 6, 15 months, Pneumococcal conjugate: 2, 4, 6, 12 months, MMR, Varicella, Hepatitis A: 12 months. HBV and rotavirus vaccines should be administered according to ACIP guidelines during the first year of life. Routine vaccines given to subjects in these arms will be consistent with the US ACIP recommended vaccines. Detailed - subjects who provided Reactogenicity and all AEs for 7 days, SAEs and medically attended AEs.
Routine Vaccines (Detailed)ACTIVE_COMPARATORInfants received one vaccination of routine vaccines (according to the local vaccination schedule) - DTaP: 2, 4, 6, 15 months, IPV: 2, 4, 6 months, Hib: 2, 4, 6, 15 months, Pneumococcal conjugate: 2, 4, 6, 12 months, MMR, Varicella, and Hepatitis A: 12 months. HBV and rotavirus vaccines should be administered according to ACIP guidelines during the first year of life. Routine vaccines given to subjects in these arms will be consistent with the US ACIP recommended vaccines. Detailed - subjects who provided Reactogenicity and all AEs for 7 days, SAEs and medically attended AEs.
MenACWY-CRM197 + Routine Vaccines (All)EXPERIMENTALInfants received one vaccination of MenACWY-CRM197 vaccine at 2, 4, 6 and 12 months of age and one vaccination of routine vaccines (according to the local vaccination schedule) - DTaP: 2, 4, 6, 15 months, IPV: 2, 4, 6, months, Hib: 2, 4, 6, 15 months, Pneumococcal conjugate: 2, 4, 6, 12 months, MMR, Varicella, Hepatitis A: 12 months. HBV and rotavirus vaccines should be administered according to ACIP guidelines during the first year of life. Routine vaccines given to subjects in these arms will be consistent with the US ACIP recommended vaccines. All (Detailed and Non-Detailed subjects): Detailed - subjects who provided Reactogenicity and all AEs for 7 days, SAEs and medically attended AEs; Non-Detailed - subjects who only provided SAEs and medically attended AEs.
Routine Vaccines (All)ACTIVE_COMPARATORInfants received one vaccination of routine vaccines (according to the local vaccination schedule) - DTaP: 2, 4, 6, 15 months, IPV: 2, 4, 6, months, Hib: 2, 4, 6, 15 months, Pneumococcal conjugate: 2, 4, 6, 12 months, MMR, Varicella, and Hepatitis A: 12 months. HBV and rotavirus vaccines should be administered according to ACIP guidelines during the first year of life. Routine vaccines given to subjects in these arms will be consistent with the US ACIP recommended vaccines. All (Detailed and Non-Detailed subjects): Detailed - subjects who provided Reactogenicity and all AEs for 7 days, SAEs and medically attended AEs; Non-Detailed - subjects who only provided SAEs and medically attended AEs.
MenACWY-CRM197 (2 doses) + Concomitant VaccinesEXPERIMENTALInfants received two doses of MenACWY-CRM197 at 6 to 8 and 12 months of age and concomitant dose of PCV7 (Pneumococcal 7-valent Conjugate Vaccine) and DTPa-IPV-HepB-Hib (Diphtheria-Tetanus-acellular Pertussis, Hepatitis B, Inactivated Poliovirus and Haemophilus influenzae type b) at 12 months.
MenACWY-CRM197 (1 dose) + Concomitant VaccinesEXPERIMENTALInfants received one dose of MenACWY-CRM197 at 12 months of age and concomitant dose of PCV7 (Pneumococcal 7-valent Conjugate Vaccine) and DTPa-IPV-HepB-Hib (Diphtheria-Tetanus-acellular Pertussis, Hepatitis B, Inactivated Poliovirus and Haemophilus influenzae type b) at 12 months of age.
MenC (1 dose) + Concomitant VaccinesACTIVE_COMPARATORInfants received one dose of MenC vaccine at 12 months of age and concomitant dose of PCV7 (Pneumococcal 7-valent Conjugate Vaccine) and DTPa-IPV-HepB-Hib (Diphtheria-Tetanus-acellular Pertussis, Hepatitis B, Inactivated Poliovirus and Haemophilus influenzae type b) at 12 months of age.
Adjuvanted MenACWY vaccine groupEXPERIMENTALBlood test
Non-adjuvanted MenACWY vaccine groupACTIVE_COMPARATORBlood test

Interventions

NameTypeDescription
MenACWY-CRM197BIOLOGICALFour 0.5mL vaccinations of MenACWY-CRM197 conjugate vaccine was administered by intramuscular injection at 2, 4, 6 and 12 months of age.
DTaP (Diptheria, Tetanus, Pertussis) VaccineBIOLOGICALFour vaccinations of DTaP (Diptheria, Tetanus, Pertussis) was administered at 2, 4, 6, and 15 months of age.
Hib (Haemophilus influenza b) VaccineBIOLOGICALFour vaccinations of Hib (Haemophilus influenza b) vaccine was administered at 2, 4, 6 and 15 months of age.
IPV (Inactivated Polio Vaccine) VaccineBIOLOGICALThree vaccinations of IPV (Inactivated Polio Vaccine) was administered at 2, 4, and 6 months of age.
Pneumococcal conjugate VaccineBIOLOGICALFour vaccinations of Pneumococcal conjugate vaccine was administered at 2, 4, 6 and 12 months of age.
MMR (Measles, Mumps, and Rubella) VaccineBIOLOGICALOne vaccination of MMR (Measles, Mumps, and Rubella) was administered at 12 months of age.
Varicella VaccineBIOLOGICALOne vaccination of Varicella vaccine was administered at 12 months of age.
Hepatitis A VirusBIOLOGICALOne vaccination of Hepatitis A Virus vaccine was administered at 12 months of age.
MenACWY-CRM197 (two doses)BIOLOGICALTwo 0.5mL doses of MenACWY conjugate vaccine (MenACWY-CRM197) was administered by intramuscular injection.
MenCBIOLOGICALOne 0.5mL dose of MenC vaccine was administered by intramuscular injection.
PCV7BIOLOGICALOne 0.5mL dose of Pneumococcal 7-valent Conjugate Vaccine (PCV7) was administered by intramuscular injection.
DTPa-IPV-HepB-HibBIOLOGICALOne 0.5mL dose of Combined Diphtheria-Tetanus-acellular Pertussis, Hepatitis B, Inactivated Poliovirus and Haemophilus influenzae type b (DTPa-IPV-HepB-Hib) vaccine was administered by intramuscular injection.
MenACWY-CRM197 (one dose)BIOLOGICALOne 0.5mL dose of MenACWY conjugate vaccine (MenACWY-CRM197) was administered by intramuscular injection.
Blood testBIOLOGICALBlood test, 40-months and 60-months children
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Eligibility Criteria

Age Range55 Days to 89 Days
SexALL
Healthy VolunteersYes
Study Sites153

Inclusion Criteria: * healthy 2-month-old infants (aged 55 - 89 days); babies must have been born after a full-term pregnancy with an estimated gestation age ≥37 weeks and a birth weight ≥2.5 kg * for whom a parent/legal representative has given written informed consent after the nature of the stud...

Countries:United StatesChinaCosta RicaGuatemalaPanamaPeruGermanyCanadaUnited Kingdom
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Frequently asked questions about MenACWY-CRM197

What is MenACWY-CRM197 used for?

MenACWY-CRM197 is an investigational vaccine being developed for the prevention of meningococcal disease, including meningitis and meningococcal meningitis. It is designed to protect against meningococcal serogroups A, C, W, and Y. The vaccine is currently in clinical development and has not been approved by regulatory authorities.

Who makes MenACWY-CRM197?

MenACWY-CRM197 is being developed by Novartis AG, a multinational pharmaceutical company traded on the New York Stock Exchange under the ticker symbol NVS. Novartis is conducting clinical trials to evaluate the vaccine's safety and immunogenicity in various pediatric populations.

What phase is MenACWY-CRM197 in?

MenACWY-CRM197 is in Phase 3 clinical development. Clinical trials have been completed, including a large Phase 3 study with 7,744 participants evaluating the vaccine when administered with routine infant vaccinations. The vaccine remains investigational and is not yet approved for public use.

What clinical trials is MenACWY-CRM197 in?

MenACWY-CRM197 has been studied in several completed clinical trials. NCT00806195 evaluated safety when given with routine infant vaccinations in 7,744 infants. NCT00667602 assessed safety and immunogenicity in 662 infants and toddlers. NCT00601731 evaluated immune response in 382 children aged 40 and 60 months.

How does MenACWY-CRM197 work?

MenACWY-CRM197 is a conjugate vaccine that combines meningococcal polysaccharides from serogroups A, C, W, and Y with the CRM197 carrier protein. This conjugation enhances the immune response, particularly in young children, by promoting T-cell-dependent immunity and immunological memory against meningococcal disease.